Implant grade titanium labret with internally threaded top with four clear marquise-shaped gems.
TITANIUM 6AL-4V-ELI ASTM F-136
Labrets are made for lip piercings but they are also fantastic for any of the ear cartilage piercings if you want a flat back.
16 Gauge X 8mm with a 4mm base size. Sold by the piece.